Bowes Watson A
Intermountain Healthcare, Salt Lake City, UT, USA.
AMIA Annu Symp Proc. 2007 Oct 11:66-9.
At Intermountain Healthcare, as part of a broad information system transition plan, a proposal was made to replace the integrated ambulatory EHR, used by 550 physicians, with a new stand alone EHR. The notion leading to the proposal was that ambulatory data was infrequently accessed outside of the ambulatory setting. To test this notion, retrospective analysis was done to determine the number of ambulatory patient events accessed by hospital based users. 399 Departments from the Hospital-based group accessed 1, 984, 785 patient events that originated from within the ambulatory group in a 90 day period. This study showed that a significant number of ambulatory patient records were viewed by a wide range of hospital-based users. The decision to replace the legacy ambulatory system with a new, stand alone system was postponed. This analysis was critical in planning the road map for a new integrated clinical information system.
在山间医疗集团，作为一项广泛的信息系统过渡计划的一部分，有人提议用一套新的独立电子健康记录系统取代由550名医生使用的综合门诊电子健康记录系统。提出该提议的想法是，门诊数据在门诊环境之外很少被访问。为了验证这一想法，进行了回顾性分析，以确定医院用户访问的门诊患者事件数量。在90天内，来自医院组的399个科室访问了1984785条源自门诊组患者的事件。这项研究表明，众多医院用户查看了大量门诊患者记录。用新的独立系统取代旧的门诊系统的决定被推迟。该分析对于规划新的综合临床信息系统路线图至关重要。
